DTS Student Reference (Pastor or Spiritual Leader)

Applicant's Name:
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First Name Last Name

To the Person Completing This Reference:

The above applicant has applied for participation with The 360 Experience a partnership with the local church and YWAM. Youth With A Mission (YWAM) is an international, interdenominational Christian missionary organization. YWAM, founded in 1960, now has more than 1200 centers in more than 170 nations on all six continents. Our purposes include training and challenging Christians to fulfill Christ's command: "Go, therefore, and make disciples of all nations."

Serious consideration will be given to your comments. Therefore, we ask that you complete this reference form carefully. This information will be treated confidentially and will not be shown to the applicant. Your prompt attention in completing this form (within 7 days) is important, as the Applicant's file cannot be considered until this office has received all forms. You can complete and submit this online form instantly, or you can request the form to be emailed or mailed to you. We recommend writing your longer answers in a separate word processor and then copying/pasting them into this form in case your internet connection is disrupted while submitting the form. You can also print your completed form using the Print button at the bottom of this page.

If you have any questions while completing this form, please do not hesitate to call us. Our phone number is (207) 284-4840.

Thank you very much for your assistance,

Your Contact Information:

Full Name
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First Name Last Name

Church Name
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Mailing Address
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Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Phone Number
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-
Area Code Phone Number

E-mail
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Please Send Me:

Additional information about The 360 Experience E-mail updates on the program/outreach the applicant is participating in

Relationship to Applicant:

How long have you known the applicant?
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My relationship to the applicant is:
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Pastor Elder Spiritual Mentor Other

I consider my relationship with him or her:
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Very Close Fairly Close An Acquaintance Minimal

Evaluation of Applicant's Spiritual & Emotional Maturity

A YWAM missionary must be able to accommodate readily to unaccustomed living conditions and new social situations. Adjustment may have to be made as to diet, social customs, climate changes, etc. Keeping in mind the challenge of these unusual demands, please rate this Applicant by placing a check under each of the following categories:

Check any of the following which you feel are motivating the Applicant to become a YWAM worker:
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Christian service Escape an unpleasant home situation Receive help, ministry, and discipleship Desire to spread the Gospel Desire to help others Travel Adventure Other

Please comment on the Applicant’s family background:
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What do you consider to be the applicant’s strengths?
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Listed below are some of the qualities which describe a leader. Please use these letters to rate the Applicant:

W = weak, D = developing, A = average, M = mature, S = strong

Positive Attitude
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Respect for strong conviction
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Teachable attitude
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Ability to make decisions clearly
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Ability to deal with interpersonal problems
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Assurance of God's calling
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Self- confidence
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Ability to communicate
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Ability to recieve criticism
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Social Poise
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Listed below are some of the tendencies, which if present, may reduce the effectiveness of a YWAM missionary. Please circle words or descriptions which pertain to the Applicant:

Impatient Intolerant Argumentative Domineering Critical of others Easily embarrassed Easily offended Easily discouraged Frequently worried Frequently anxious Frequently nervous or tense Given to moodiness or mood swings Prejudiced towards groups, races or nationalities Lacking in humor, or in the ability to take a joke Unable to cope with stress Erratic in attitudes or actions The Applicant seems relatively free from all such tendencies

If you have noted any of these or similar limitations in the Applicant's life, please elaborate:

Please choose any that apply:
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Has the Applicant proven on any occasion to be unreliable, dishonest, or of questionable character? Has the Applicant ever been arrested for any offense other than minor traffic violations? Has the Applicant ever been involved in drug abuse, gangs, homosexuality, or the occult? To your knowledge, Has the Applicant had psychiatric treatment? None Apply

If one or more were chosen above, please explain:

How do you think the Applicant will respond to living in community with people from different cultures, age groups, church denominations, etc?
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What will be his or her greatest strength and challenge in this living environment?
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What is your overall evaluation of the Applicant's promise as a YWAM worker?
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Definitely unsuited At this time, I feel the Applicant is not suited A good prospect, but I do have some reservations An average prospect An above-average prospect An unusually exceptional prospect

If you have reservations about their suitability, please elaborate
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Do you have any ministry needs in your area that we could help you meet? Explain:
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